MEDICARE: VIRGINIA MCCARLEY MS, LMHC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1063160109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA MCCARLEY MS, LMHC, LPC

Provider Business Mailing Address
First Line	:	122 4TH AVE STE 200
Second Line	:
City	:	INDIALANTIC
State	:	FL
Zip	:	32903-3112
Country	:	US
Telephone Number	:	321-327-3793
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 4TH AVE STE 200
Second Line	:
City	:	INDIALANTIC
State	:	FL
Zip	:	32903-3112
Country	:	US
Telephone Number	:	321-327-3793
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2022
Last Update Date	:	02/18/2026

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